Neshamah Member/School Form 2018.19

We require a membership contribution for all families with students in grade 5 or higher who would like to reserve a bar/bat mitzvah date. Please select the "Membership and School" option. We hope that all our families will choose this option.

The Bar/Bat Mitzvah is just the beginning! Our community values lifelong learning and connection to our community; therefore, our Neshamah NEXT program for students in grades 8-10 is comprised of two components: Jewish Learning and Jewish Community service. Both components (A and B) are required for participation.

Your School Tuition must be arranged online via credit card upon completion of this form.

Your School Tuition must be arranged online upon completion of this form.

Are you a Member or Non-Member of our community?

Please Select OneMemberNon-Member

Member - Parent Name

Member - Parent Cell

Member - Parent Email

Contact Name

Home Address

City

Postal Code

Home Phone

Email

Adult 1 Cell

Adult 1 Email

Adult 2 Cell

Adult 2 Email

Community Involvement

Adult EducationChoirFundraisingHigh HolidaysSchoolShabbat/Ritual

Please check the areas you would like to be involved with:

YesNo

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Due to changes to Canadian law, we require your consent to receive updates, newsletters, and other information via electronic messages from KOL AMI AND NESHAMAH@KOLAMI. You may withdraw your consent to receive such messages at any time. To unsubscribe email info@neshamah.ca or admini@kolami.ca.
36 Atkinson Avenue Thornhill Ontario L4J 8C9. Please check the box to the left.

How did you hear about us?

Please Select OneRoad SignWeb SearchURJReferral

Who should we thank?

How many Adults are part of this Membership or School Application

Please Select One1 Adult2 Adults

Adult 1 First Name

Adult 1 Middle Name

Adult 1 Last Name

Adult 1 Birth date

Adult 1 Occupation

Adult 1 Hobbies

Adult 1 Hebrew Name

Adult 1 Fathers Hebrew Name

Adult 1 Mothers Hebrew Name

Adult 2 First Name

Adult 2 Middle Name

Adult 2 Last Name

Adult 2 Date of Birth

Adult 2 Occupation

Adult 2 Hobbies

Adult 2 Hebrew Name

Adult 2 Fathers Hebrew Name

Adult 2 Mothers Hebrew Name

How many children will be incuded in your Membership?

noneOne ChildTwo ChildrenThree ChildrenFour Children

Children under the age of 25 are included in your membership. Children 26 and older must apply for Membership on their own.

Child 1 First Name

Child 2 First Name

Child 3 First Name

Child 4 First Name

Child 1 Middle Name

Child 2 Middle Name

Child 3 Middle Name

Child 4 Middle Name

Child 1 Last Name

Child 2 Last Name

Child 3 Last Name

Child 4 Last Name

Child 1 Hebrew Name

Child 2 Hebrew Name

Child 3 Hebrew Name

Child 4 Hebrew Name

Child 1 Date of Birth

Child 2 Date of Birth

Child 3 Date of Birth

Child 4 Date of Birth

Child 1 School

Child 2 School

Child 3 School

Child 4 School

How many children are being enrolled in Neshamah School of Kol Ami's Program

Please Select One1 Child2 Children3 Children4 Children

How many children are being enrolled in Neshamah School of Kol Ami's Program

Please Select One1 Child2 Children3 Children4 Children

How many students are being enrolled in Neshamah's NEXT (Gr 8-10 program)

Learning and Behaviourial Considerations: If your child has learning needs, please share a current IEP or similar documentation with us so that we can put an individualized plan in place and set your child up for success.. This information will be sent to our Director of Education (educator@neshamah.ca). Yearly updates are helpful!

Child 1 - Learning or Behavioural Challenges

Child 2 - Learning or Behavioural Challenges

Child 3 - Learning or Behavioural Challenges

Child 4 - Learning or Behavioural Challenges

Child 1 - Allergies and Medication

Child 2 - Allergies and Medication

Child 3 - Allergies and Medication

Child 4 - Allergies and Medication

We offer program on Sundays and when possible, Midweek on Wednesdays.
Please indicate your 1st choice for Sunday program and 2nd choice for Midweek.

Grade 7/B/nai mitzvah program: students must enroll in our Sunday program only.
B'nai Mitzvah tutoring will be arranged outside of school hours.

Child 1

NoneSunday 930am-1230pm

Child 2

NoneSunday 930am-1230pm

Child 3

NoneSunday 930am-1230pm

Child 4

NoneSunday 930am-1230pm

2

Synagogue Contribution:

Kol Ami and Neshamah, as a joint entity espouses the value of Kehilah Kedoshah – a Holy Community and our members rely on each other in that the costs are shared by the community. Recently, the community adopted a“Voluntary Community Support (VCS)” model. VCS is voluntary support of the congregation where members contribute to the best of their ability.

The VCS model speaks to our community’s value of inclusiveness. There is no longer a need for a Dues Relief process. No questions will ever be asked and no explanations will be needed regarding the family’s level of support.

We would ask that for 2018/19 you consider a contribution of an amount equal to what you previously contributed as a member of Neshamah and/or consider whether your circumstances allow for a further contribution tohelp support the wide variety of programming that Kol Ami offers its members. As a continuing member of Neshamah and Kol Ami, please know that whatever you choose, your contribution will be greatly appreciated.

All contributions must be arranged by August 31, 2018.
Please note: there is an $18 URJ Membership Fee added on to all Membership categories.

What amount do you wish to contribute this year?

Please enter the amount you wish to contribute this year for your Voluntary Community Support.

School Tuition: (JK to G6) $950. Your school tuition payment may be split up monthly with the last payment due in February 2019.

For those who submitted an early bird deposit, this will be reflected in your account by December 31, 2018.

Your fees are due now. Please click 'Submit' at the bottom of this form to be taken to our secure payment page. Visa and Mastercard are accepted. All fees are tax receiptable.

Donation

No Thanks$500$360$180$136$90$72$54$36

This is a donation in addition to your membership and or school payment. Your donations help us to expand our school programming. Thank you very much for your continued support of Neshamah education.

Neshamah Congregation's URJ affiliation fee

URJ Membership Fee $18

The Union for Reform Judaism leads the Reform Movement - the largest Jewish movement in North America. The URJ provides vision and voice to build strong communities that, together, transform the way people connect to Judaism and change the world.

ARZA CANADA - Neshamah members are strongly ecouraged to join ARZA Canada, which supports Reform Judaism in Israel. For more information go to www.arzacanada.org

Please Select OneNo thanksYes. Please sign me up for $36/year

Total Fee

Signature

For office use only: Member ID

Please click the 'Submit' button below.

​Once you click submit, you will be directed to a page to make payment arrangements. Payment may be split up into 8 equal monthly payments.

Section G- School DisclaimerIf the emergency contact on file can not be reached, in the event of a medical emergency, we hereby give permission to the physician or hospital selected by the school or its selected representative to hospitalize and/or secure proper treatment for our child(ren) named above. We understand that any costs incurred will be our responsibility. We understand that any costs incurred by damage to the school properly bu our child(ren) will be our responsibility.
From time to time, limited information about your child(ren) may be disclosed beyond the scope of Kol Ami/Neshamah community. This may include the release of students’ ages,grades,artwork,images,writing or other school related work to the media for publicity, displays, newsletters etc. If you do not consent to the release of information, please inform the office administration in writing prior to the commencement of the school year.